Backup Documents 11/10/2015 Item #16H5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 5
T ACCOMPANY16H
O ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office JAK b 11/10/15
/
4. BCC Office Board of County
Commissioners (cs2 \k\m\\c
5. Minutes and Records Clerk of Court's Office Vw
21
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additional or missing information.
Name of Primary Staff Wanda Rodri ez,ACP Phone Number 252-8123
Contact/ Department Office of the ounty Attorney
Agenda Date Item was 11/10/15 Agenda Item Number 16-H-5
Approved by the BCC WL 5-L / _
Type of Document Resolution appointing a member to the Number of Original one
Attached Collier County Planning Commission Documents Attached
PO number or account N/A
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature Sk N/A
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
provide the Contact Information(Name; Agency;Address; Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be
signed by the Chairman, with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the JAK
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's JAK
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 11/10/15 and all changes made during
the meeting have been incorporated in the attached document. The County JAK
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the \e'cl•- --\\
BCC,all changes directed by the BCC have been made, and the document is read for t e `
Chairman's signature. v-tsa..Ye-L
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16H5
RESOLUTION NO. 2015 - 2 3 6
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, APPOINTING WAFAA F. ASSAAD TO
THE COLLIER COUNTY PLANNING COMMISSION.
WHEREAS, on May 26, 2009, the Board of County Commissioners adopted Ordinance No.
2009-29, which relocated and readopted the Planning Commission Ordinance in its entirety as a
stand-alone ordinance in the Collier County Code of Laws and Ordinances; and
WHEREAS, Ordinance No. 2009-29, as amended, provides that the Planning Commission
shall be composed of five (5) members representing the five County Commission Districts; two (2)
at-large environmental members possessing the technical expertise as outlined in the Ordinance;
and one (1) non-voting member appointed by the School District; and
WHEREAS, Ordinance No. 2009-29, as amended, also provides that a candidate
representing a Commission District must be nominated by the Commissioner of the District in
which the candidate resides for both initial and subsequent terms, and an "At-Large" member may
be nominated by any Commissioner; and
WHEREAS, Brian Doyle, representing District 4, did resign from his seat on September 4,
2015; and
WHEREAS, the Board of County Commissioners previously provided public notice
soliciting applications from interested parties; and
WHEREAS, the District 4 Commissioner has provided her nomination for appointment.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that WAFAA F. ASSAAD, representing
District 4, is hereby appointed to serve the remainder of a term expiring on October 1, 2016.
THIS RESOLUTION ADOPTED upon majority vote the 10th day of November, 2015.
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK, Clerk COLLIER COUNTY, FLORIDA
BY: 110 ,�► _ B �lQt
Attest as 0 ! a .4 /Deputy lerk&® TIM NANCE, CHAIRMAN
signature only.
Approved ai te'frm angel l-_ality:
Jeffrey A. Kiat 4 o
County Attorney